Labor & Delivery Drugs to Know

Duramorph (morphine)

Classifications: Opioid

Route: intrathecally or epiduarally. Larger amounts increase the side effects without raise the length of time the drug performs. Nurses don't give this?? OB make use of: For discomfort 24 hours after birth/most commonly used with C sections. Unwanted side effects: pruritus, nausea and nausea, and urinary retention Medical implications: functions in 30-60 minutes.

Contraindications: allergy/hypersensitivity to morphine.

Maternal Side effects: most popular: confusion, sedation, constipation, hypotension, pruritus, urinary retention, nausea, and nausea. Can cause resp depression which will cause neuro problems. Give they are obese taking mag. Sulfate and have absolutely sleep apnea have reached a greater exposure to possible resp depressive disorder. You can offer Naloxone (Narcan) to invert resp despression symptoms. Nursing concerns: Make sure they will don't have an allergy to morphine to acquire hx. Determine vital indicators and LOS after supplying. Make sure they are inhaling and exhaling okay. Observe voiding behaviors. Check soreness score. If perhaps they have puritius then provide lotions, backrubs, cool or perhaps warm provides admin prescribed meds prn. Have Narcan on hand constantly. Check BP. Asses pt when the lady ambulates the first time. Provide assistants and watch the moment caring for newborn baby. ASSESS resp status on an hourly basis for the first half of the day and q everyother hour for the next half of the day. Teaching: head aches are uncommon but could happen 2-5 days and nights after inconsiderateness: sleeping in a dark area, caffeine and hydration can certainly help. Naloxone (Narcan)

Class: opioid antagonist

Durch Use: accustomed to reverse the mild resp depression brought on by butorphanol (Standol, nalbuphine (Nubain) and meperidine hydrochloride (Demerol), sedation, and hypotension subsequent small doasage amounts of opiates. NOTE: this is the drug of preference when the cause of resp despression symptoms is unknown. /Given towards the laboring mother or infant. Route: To mother: may be injected undiluted at a rate of 04. mg over 15sec into the hoses of a operating IV. Also can be diluted in 5% dextrose (more often in postop adjustments when epidurals are given to get c section) For Neonates IV, IM OR HER, ET. Regular dosage is usually 0. 01mg/kg Contraindications: No longer give to females of child's with known dependency to narcotics. Unwanted side effects:

Maternal/Fetal Risk:

Breastfeeding implications: The half life is shorter then Demerol so you need to have this on hand since resp major depression might come back. Can cause withdrawals in girls that have a dependency about narcotics. After giving direct IV mother's vial signs should be checked q5 mins until resp depression is definitely stabilized then q30 moments. Nalbuphine Hydrochloride (Nubain)

School: Synthetic opioid agonist-antagnoist narcotic analgesic Durch Use: Modest to extreme pain equal to the effects of morphine Route: IM/SQ/IV adults 10-20mg q3-6 hours.

Contraindications: hypersenstiviy to allergy on this drug.

Side Effects: sedation, clammy, exhausted skin, dried mouth, bitter taste, N/V, dizziness, vertigo, nervousness, trouble sleeping, depression, moaping, euphoria… Maternal/Fetal Risk:

Nursing ramifications: assess to get allergy pertaining to narcotics about admission. Advise pt of potential unwanted effects, check pain scale, if they are allergic to sulfate it may well cause allergy or intolerance, can give naloxone (Narcan) or diphenhydramine every dr orders. Asses resp rate after and before giving (if less then doze breaths per minutes) examine urinary output and urinary distension. Support pt to walk, don't drink about this drug, may cause withdawls in the event you discontinue suddenly. Naloxone (Narcan)

Class: opioid antagonist

Hinsichtlich Use: utilized to reverse the mild resp depression due to butorphanol (Standol, nalbuphine (Nubain) and meperidine hydrochloride (Demerol), sedation, and hypotension subsequent small dosages of opiates. NOTE: this can be a drug of preference when the reason for resp despression symptoms is unfamiliar. /Given for the laboring mother or infant. Route: To mother: might be injected undiluted at a rate of 04. mg over 15sec into the lines of a operating IV. Also can be diluted in five per cent dextrose (more often...

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